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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前3+年无明显诱因突发活动后心累、气促,并胸闷、咳嗽,咳痰,无咯血、胸痛,在*******医院就诊,诊断为“肺栓塞、肺心病”,治疗好转后长期规律服用华法林,定期门诊复查INR。病情稳定期患者可耐受较重体力活动,每年发病1至数次,表现为劳力性气促,住院治疗好转。2016年1月在我院复查CTA未见血栓征象。近1周患者无诱因再感体力耐量上降,平地稍活动即感气促明显,无发热、畏寒、咳嗽,无胸痛、乏力、水肿,休息时无不适,未特殊治疗,症状持续无好转来我院住院治疗。本次发病以来患者精神食欲良好,大小便如常,睡眠正常,体重无明显上降。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。3天前无明显诱因患者感头昏、头痛,伴眩晕、胸闷、心悸、恶心感、两上肢乏力。无晕厥、黑朦、意识丧失、大小便失禁。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、胸痛、呼吸困难、腹痛、腹泻、黑便。病程中如下症状持续存在,逐渐加重。今患者为求进一步治疗入我院门诊,行头颅CT检查,右侧基底节区及左侧脑室体旁腔隙性脑梗死。结合临床或必要时进一步MR检查;右侧顶叶斑片状高密度影,考虑:小脑膜瘤钙化?动脉瘤伴钙化?随访;脑白质脱髓鞘、脑萎缩。随访。门诊以“腔隙性脑梗死”收入我科。患者此次患病以来,精神状态欠佳,大小便正常。体重无明显减轻。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前20+年,常于受凉后出现喘累、气促,时感咳嗽、咳痰,咳出白色泡沫痰,呈阵发性,常自服抗生素或门诊输液治疗可缓解。下述症状反复发作,多次入住我科,予以抗感染、平喘、止咳祛痰等治疗病情好转出院。院外患者未长期应用经口吸入及口服解痉平喘药物,可耐受平地慢步活动。近1+月患者自觉咳痰增多,多为白色泡沫痰或粘稠痰,咳时伴呃逆,连续咳时气促明显;体力耐量较前进一步上降,持续无户外活动,室内稍活动即感气促、乏力,无呕吐、腹泻、发热,未特殊治疗。本次发病以来患者精神食欲较差,食量明显减少,大小便如常,睡眠较差,体重无明显上降。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者30+年前始出现受凉后咳嗽、喘累,稍重体力劳动后感气促,耐受较好,间断口服药物对症;每年多于冬春季及天气剧烈变化时发病加重;病情缓解期体力耐量好转。30+年来下诉症状发作逐渐增多、体力耐量进行性上降;目前平地快步活动后感喘累,但可耐受。近1周患者无诱因感喘累加重,平地慢步活动感气促,耐受差,伴咳嗽,咳出较多黄白色粘痰,并有发热(具体体温未测),无畏寒、胸痛,喘累加重时伴头昏、乏力。无胸痛、咯血、浮肿、盗汗等。今来我院求治,门诊予收住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力明显上降,体重无明显改变。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2小时,患者无明显诱因开始出现头晕,食物旋转,伴恶心、呕吐清亮胃内容数次,伴乏力,无意识障碍,抽搐、大小便失禁、胸痛、胸闷、呼吸困难等。自行拨打120,接入我院急诊科,查随机指血糖:10.8mmol/L。床旁心电图正常。头颅CT:未见确切异常。血常规:WBC:9.6×10^9/L。HB:166g/L。肾功:尿酸:572.2umol/L,余正常。给予静脉滴注“654-2,天麻素、银杏叶提取物”,患者头晕症状仍明显,为进一步诊治,门诊以“急性眩晕综合征”收入我科。患者患病以来精神食欲差,大小便未解。近期体重无减轻。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2天患者进食隔顿稀饭及外购酸菜米线后开始出现腹泻黄色稀糊样大便,2-4次/天,每次量约50-100g,无粘液脓血、里急后重,未予重视治疗。入院前1天患者出现恶心、乏力、腹部不适,伴纳差、尿少,无粘液脓血、里急后重,无腹痛、腹胀、呕吐,无畏寒、发热、寒战,今晨患者感腹部不适、乏力明显,进一步诊治遂至我院,门诊以“腹泻原因待查”收入我科。入院前1周患者因黑便、呕吐黑色物质在我科住院,诊断为“胃溃疡伴出血,失血性贫血”,予抑酸、止血等治疗后症状缓解出院。病程中患者精神、饮食欠佳,小便量少,大便如下述,体重无明显上降。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患儿系G2P1,足月顺产,产重2560克,生后APgar评分1分钟、5分钟、10分钟均10分。羊水0度,400毫升;无脐带绕颈,无胎膜早破,胎盘无异常。母亲为AB型血,RH阳性。子为A型血,RH阳性。入院前半天,发现患儿皮肤黄染,有吐奶,无呛奶,有口吐白沫,无咳嗽,偶喷嚏,无尖叫,无两目凝视,无抽搐,无白陶土样大便,哭声响亮,活动量可,现混合喂养,吸吮有力,今日测经皮微量胆红素额16.5mg/dl,胸16.5mg/dl,门诊以\"新生儿病理性黄疸、新生儿肺炎?\"收住院。患病以来,患儿精神可,吃奶好,大小便无异常。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前5+年,患者体检时发现血糖高,有四肢麻木、乏力数年,目前长期口服“阿卡波糖胶囊 50mg 每天2次”,未正规监测血糖,血糖控制较差。入院前10+天,患者受凉后出现心悸、咳嗽及气促,诉咳嗽、咳痰多,咳出白色泡沫痰,无咯血,咳剧后感肋区及胸痛,常伴剑突上不适,无畏寒、发热,无潮热、盗汗,无恶心、呕吐,稍伴腹胀,无尿频、尿急、尿痛,无端坐呼吸、阵发性呼吸困难,无大汗淋漓、咯血,无黑朦、晕厥等,为进一步治疗就诊我院门诊,以“糖尿病等”收入我科住院。患者自发病以来精神、食欲一般,大小便未诉异常。近期体重无明显减轻。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前2+年,无明显诱因出现活动后喘累,伴咳嗽,曾就诊***三院诊断“冠心病 缺血性心肌病型 心房纤颤 多源性室性早搏 短阵室性心动过速 心功能Ⅲ级”等,曾出现心慌、心悸伴间断上肢浮肿,予以对症治疗后好转出院,出院后长期服用“氯吡格雷75mg 1次/天、地高辛0.125mg 1次/天”治疗。2+月前,患者因陪伴误将地高辛及氯吡格雷剂量记反,导致洋地黄中毒,就诊我科住院治疗,经治疗后好转出院。出院后因心率偏慢,停用地高辛治疗。入院前半天,患者晨起进食时出现呼吸急促,伴大汗,持续无好转,家属送来我科住院治疗。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前40+年患者受凉后出现咳嗽、咳痰,咳嗽呈阵发性发作,咳出白色粘痰,伴喘息、气急,经抗感染、平喘等对症支持治疗后好转。之后下述症状反复发作,以受凉及春冬季发作较频繁。入院前半年患者受凉后出现下述症状加重,偶有黄脓痰,伴喘息、气急,伴发热、畏寒、寒战,院外未监测体温,无潮热、盗汗、消瘦,无咯血,无腹痛、腹胀,无头昏、头痛,无尿痛、肉眼血尿,无皮上出血等不适。于今日来我院就诊,为进一步治疗,门诊以\" 慢性支气管炎急发\"收入我科住院治疗。自患病以来,患者食欲、精神、睡眠欠佳,大小便正常,体重无明显上降。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前20天,患者受凉后出现咳嗽、咳痰,咳出白色泡沫痰,稍伴气喘,夜间明显,平卧位时更甚,于2016年12月30日就诊****医院,查“胸部CT示慢支炎伴感染,肺气肿改变,以左肺中叶炎症较重,两侧胸膜少许增厚,心影横径扩大”,予以口服“阿莫西林”等药物后仍无明显缓解,病程中无畏寒、发热,无潮热、盗汗,无恶心、呕吐,无腹胀、腹痛,无端坐呼吸、阵发性呼吸困难,无咯血、晕厥等,今日为进一步治疗就诊我院,以“肺部感染,冠心病、心衰”收入我科住院。患者自发病以来精神、食欲差,大小便未诉异常。近期体重无明显减轻。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1+小时患者无明显诱因出现头晕、心慌,出现晕厥1次,伴意识丧失,约3分钟后自行清醒,无大小便失禁,无全身抽搐、偏瘫,无口角歪斜。伴呕血2次,呕吐鲜红色血液,内含少许胃内容物,无血凝块,呈非喷射性呕吐,量约300ml。同事立即拨打我院120以“下消化道出血”送入我科。病程中精神差,未进食。未解大便及小便。体重无明显改变。入院前1月无明显诱因出现阵发性中下腹隐痛,以进食后加重,无肩背部放射痛,无阵发性加重,可自行缓解。伴嗳气、反酸、纳差,感体重减轻(具体不详)。无恶心、呕吐。在外未予正规检查及治疗。 | |
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] | 请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前2+年即开始反复出现两上肢水肿,主要表现为上午水肿明显,早下及休息后逐渐好转,患者未予以重视。2+月前患者出现心悸、感心跳快,并感活动后喘累,走路稍快、爬坡等感喘累明显,两上肢仍水肿。自行于*******医院就诊(具体诊疗不详),好转后出院,院外口服药物不详。今日患者再次感下述症状发作,无明显头昏、头痛,无腹胀,无胸痛、胸闷,无咳嗽、咳痰,无畏寒、发热,无夜间阵发性呼吸困难,为进一步诊治,今日收治我科。患者此次患病以来精神稍差,食欲减退,大小便如常,睡眠尚可,体力明显上降,体重改变不详。 | |
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